Healthcare Provider Details

I. General information

NPI: 1134084585
Provider Name (Legal Business Name): BRITTANY LYNN DEVENNEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 EAST ST
TEXARKANA AR
71854-6507
US

IV. Provider business mailing address

153 BOOKER
EMMET AR
71835-9056
US

V. Phone/Fax

Practice location:
  • Phone: 870-216-0829
  • Fax: 870-216-0828
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number235685
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: